目的 探讨蓝光照射结合腹部环形按摩治疗新生儿黄疸的效果.方法 回顾性分析江苏省南通市第一人民医院2015年6月～2016年12月收治的150例新生儿黄疸患儿临床资料,依据治疗措施不同进行分组,对照组(苯巴比妥治疗)70例和观察组(苯巴比妥、蓝光照射结合腹部环形按摩治疗)80例,观察两组新生儿黄疸胎便转黄时间、每日排便次数、黄疸消退时间、胆红素水平、临床疗效.结果 观察组新生儿黄疸胎便转黄时间、黄疸消退时间均短于对照组,每日排便次数多于对照组,差异有统计学意义(P＜0.05).两组治疗前胆红素水平比较,差异无统计学意义(P＞0.05);观察组治疗后1、3、7d胆红素水平均低于对照组,差异有统计学意义(P＜0.05);随着治疗时间的不断延长,两组新生儿黄疸胆红素水平逐步降低,差异有统计学意义(P＜0.05).观察组新生儿黄疸临床治疗总有效率高于对照组,差异有统计学意义(P＜0.05).结论 蓝光照射结合腹部环形按摩治疗新生儿黄疸的临床症状改善明显,胆红素降低显著,疗效良好,值得临床推广应用.%Objective To explore the effect of blue light irradiation combined with abdominal circular massage on neonatal jaundice.Methods Clinical data of 150 patients with neonatal jaundice in the First People's Hospital of Nantong City,Jiangsu Province from June 2015 to December 2016 were retrospectively analyzed.They were divided into two group by different treatment methods,control group (phenobarbital treatment) of 70 cases and observation group (phenobarbital,blue light irradiation combine with abdominal circular massage treatment) of 80 cases.The meconiun turning yellow time,daily defecation number,eliminating jaundice time,bilirubin,clinical effects of two groups were detected.Results The meconiun turning yellow time,eliminating jaundice time in observation group were shorter than those in control group,daily defecation number in observation group was more than that in control group,with statistical differences (P ＜ 0.05).There was no significant difference in the levels of bilirubin before treatment between two groups (P ＞ 0.05).The bilirubin levels of observation group after treatment of 1,3,7 d were lower than those of control group,with statistical differences (P ＜ 0.05).With the continuous prolongation of treatment time,the levels of bilirubin in two groups of neonatal jaundice were gradually decreased,the difference was statistically significant (P ＜ 0.05).Total effective rate of clinical treatment of neonatal jaundice in observation group was higher than that in control group,with statistical difference (P ＜ 0.05).Conclusion Clinical symptom of blue light combined with abdominal circular massage in the treatment of neonatal jaundice is improved significantly,bilirubin decreased significantly,the effect is good,it is worthy of clinical promotion and application.
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